Abstract
We report the case of a 58-year-old woman in whom relapsing painful ophthalmoplegia related to a mycetoma of the sphenoid sinus gave origin to meningitis with markedly depressed glucose levels in the cerebrospinal fluid. Surgical exeresis of the mycetoma allowed aetiological diagnosis (aspergillosis) and--together with antimycotic therapy--led to durable clinical response.
MeSH terms
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Female
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Glucose / cerebrospinal fluid
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Humans
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Magnetic Resonance Imaging / methods
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Meningitis / cerebrospinal fluid
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Meningitis / etiology*
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Meningitis / pathology
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Middle Aged
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Mycetoma
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Ophthalmoplegia / cerebrospinal fluid
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Ophthalmoplegia / complications*
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Sphenoid Sinusitis / cerebrospinal fluid
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Sphenoid Sinusitis / complications*
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Tomography, X-Ray Computed / methods